The Role of Adipose Tissue in the Pathogenesis and Therapeutic Outcomes of Inflammatory Bowel Disease.


Journal

Cells
ISSN: 2073-4409
Titre abrégé: Cells
Pays: Switzerland
ID NLM: 101600052

Informations de publication

Date de publication:
21 06 2019
Historique:
received: 31 05 2019
revised: 16 06 2019
accepted: 18 06 2019
entrez: 26 6 2019
pubmed: 27 6 2019
medline: 27 6 2019
Statut: epublish

Résumé

Though historically regarded as an inert energy store, adipose tissue is a complex endocrine organ, which is increasingly implicated in the pathogenesis of inflammatory bowel disease (IBD). Accumulating evidence points to visceral adipose tissue and specifically to its mesenteric component, or "creeping fat" as impacting on the disease course through its immunomodulatory properties. On the one hand, mesenteric fat acts as a physical barrier to inflammation and is involved in controlling host immune response to translocation of gut bacteria. On the other hand, however, there exists a strong link between visceral fat and complicated course of the disease with unfavorable therapeutic outcomes. Furthermore, "creeping fat" appears to play different roles in different IBD phenotypes, with the greatest pathogenetic contribution probably to an ileal form of Crohn's disease. In this review, we summarize and discuss the existing literature on the subject and identify high-priority areas for future research. It may be that a better understanding of the role of mesenteric fat in IBD will determine new therapeutic targets and translate into improved clinical outcomes.

Identifiants

pubmed: 31234447
pii: cells8060628
doi: 10.3390/cells8060628
pmc: PMC6627060
pii:
doi:

Substances chimiques

Adipokines 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Piotr Eder (P)

Department of Gastroenterology, Dietetics and Internal Medicine, Poznań University of Medical Sciences, Heliodor Święcicki Hospital, 60-355 Poznan, Poland. piotr.eder@op.pl.

Maciej Adler (M)

Department of Paediatrics, Royal Berkshire Hospital NHS Foundation, RG1 5AN Reading, UK. maciej.adler11@imperial.ac.uk.

Agnieszka Dobrowolska (A)

Department of Gastroenterology, Dietetics and Internal Medicine, Poznań University of Medical Sciences, Heliodor Święcicki Hospital, 60-355 Poznan, Poland. agdob@ump.edu.pl.

Julian Kamhieh-Milz (J)

Institute for Transfusion Medicine, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany. julian.milz@charite.de.

Janusz Witowski (J)

Department of Pathophysiology, Poznań University of Medical Sciences, 60-806 Poznan, Poland. jwitow@ump.edu.pl.

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